Idiopathic Intracranial Hypertension in an Adolescent With Recent Human Immunodeficiency Virus (HIV) Diagnosis: A Challenging Etiological Dilemma.

Autor:	Ebong IL; Department of Pediatrics, NYC Health+Hospitals/Woodhull Medical Center, New York, USA., Delgado A; Department of Pediatrics, NYC Health+Hospitals/Woodhull Medical Center, New York, USA., Aranda SS; Department of Pediatrics, NYC Health+Hospitals/Woodhull Medical Center, New York, USA., Shonibare OO; Department of Pediatrics, NYC Health+Hospitals/Woodhull Medical Center, New York, USA., Aryal S; Department of Pediatrics, NYC Health+Hospitals/Woodhull Medical Center, New York, USA., Karki B; Department of Pediatrics, NYC Health+Hospitals/Woodhull Medical Center, New York, USA., Acosta K; Department of Pediatrics, NYC Health+Hospitals/Woodhull Medical Center, New York, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 May 09; Vol. 16 (5), pp. e60001. Date of Electronic Publication: 2024 May 09 (Print Publication: 2024).
DOI:	10.7759/cureus.60001
Abstrakt:	Idiopathic intracranial hypertension (IIH) or benign intracranial hypertension affects the neuro-ophthalmological system and leads to elevated intracranial pressure. Elevated opening pressure during lumbar puncture is diagnostic of IIH. Here in, we present an interesting case of a 15-year-old girl, recently immigrated and with a high BMI, presenting with recurrent fever, abdominal issues, weight loss, and other symptoms, leading to a diagnosis of pelvic inflammatory disease (PID) and HIV infection. After treatment with antibiotics (doxycycline) and antiretroviral therapy, she developed IIH, manifesting as sudden-onset headache and vision problems. MRI and lumbar puncture confirmed the diagnosis. She responded well to acetazolamide and was discharged with continued medication and follow-up appointments. This case underscores the complexity of IIH development, especially in the setting of acute HIV infection and antibiotic treatment, highlighting the need for a comprehensive diagnostic approach and multidisciplinary management. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Ebong et al.)
Databáze:	MEDLINE
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